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Met my surgeon yesterday

Snapdragon

Member
I met my surgeon for the first time yesterday. She’s very confident and very collaborative. She didn’t tell me which surgery I should have. She listened to my initial thoughts, dealt with those concerns, then went over the precise risk of each. I chose VSG because she’ll still fix my hernia and tighten my hiatus and the risk of complications is lower and less severe. My insurance won’t cover complications so that was very compelling.

No surgery date of course. I need to see my PCP for blood work, Pap smear (ugh!), and general physical. Plus I need an up-to-date mammogram and an EKG. I see both the nutritionist and psychologist twice. If they thumbs up then I get my surgical review and surgery date.

I have a big list of lifestyle changes to check off to be cleared. I am very grateful to have something concrete to do to keep me occupied while I go through all of these appointments.
 
I'm glad your appointment went well. All those appointments will keep you busy. I know it's not fun but its good to know that everything checks out okay. But wow, that is crazy that insurance doesn't cover any complications. You probably won't get a surgery date until you are further down the line on the pre-op appointments. Good luck with everything!
 
Great news!! And really, you should be able to wipe out those appointments pretty quickly. It never hurts to get those yearly check-ups! I know you said your insurance won't cover the surgery, but it's crazy that they would be unwilling to cover complications. They'll be happy to reap the benefits of your improved health, I'm sure. I'm mad on your behalf lol Once you get the process going, it flies by.
 
I started my process just as Covid hit, so one minor benefit was that many of my appointments (Nutritionist, Psychologist) were virtual, so I wasn't driving all over the place. It may seem overwhelming on paper, but it will be well worth it in the end. Best of luck to you!
 
I met my surgeon for the first time yesterday. She’s very confident and very collaborative. She didn’t tell me which surgery I should have. She listened to my initial thoughts, dealt with those concerns, then went over the precise risk of each. I chose VSG because she’ll still fix my hernia and tighten my hiatus and the risk of complications is lower and less severe. My insurance won’t cover complications so that was very compelling.

No surgery date of course. I need to see my PCP for blood work, Pap smear (ugh!), and general physical. Plus I need an up-to-date mammogram and an EKG. I see both the nutritionist and psychologist twice. If they thumbs up then I get my surgical review and surgery date.

I have a big list of lifestyle changes to check off to be cleared. I am very grateful to have something concrete to do to keep me occupied while I go through all of these appointments.
 
I met my surgeon on March 30th so we are beginning our journeys at a similar time. I had some knowledge of surgery options because three years ago I helped a friend go through the process taking her to her appointments/hospitalization and helping with her initial diet those first weeks. Unfortunately I did not have the positive experience you had with your surgeon. I was told I had one surgery option so I did not feel I had any part in the decision making process. It was a very clinical experience in that once he read that I had insurance coverage and met the qualifications for coverage then a date was set for June 29th. Since I had an upper and lower GI within the last year I can skip that step, I have already had the first of three phone calls with the nutritionist. My GP is setting up the last two appointments for me. My GP (who knows me well) is the one who I trust when she tells me how good a surgeon he is (I still checked him out on-line) and that this surgery is best for me. Regardless of the impression I got from the surgeon and his nurse who's consultation was a list of nos as in ALL wheat and sugar immediately, I will be proactive learning all I can about the procedure, any concerns to look for, diet, expectations for long term etc. The nutritionist was a bit general (I have some training in nutrition myself) but does not want me to go "cold turkey" on the nos. This site will be one of the tools that will make this a success. Good luck to you on this shared journey. I am looking forward to your experiences along the way. Caterina
 
The whole process from making the decision to have the surgery, meeting with the surgeon, getting my surgery date and now the countdown has been a roller coaster ride of emotions. At first I fought the commitment to even see the surgeon and was disappointed in every aspect of the visit.

AT least the phone visit with the nutritionist was positive. My surgeon does not have required weight loss previous to surgery. I have been very aware of my food choices, surprised sometimes that eating less has not left me feeling deprived and I am trying to listen to my body.

Finding this group with all the info that I did not get at the DR has been a tremendous help at relieving my fears. I started pre-surgery tests and started pumping myself up with a list of fun goals I wanted to make a part of my life again as I lose the weight and daydreaming about wearing pretty clothes in a size that is not a double digit. I reread the packet of info from the DR for the nth time and was aware how little info was there except the surgery and hospital stay.

Staring at the surgery date on my packet hit me hard for some reason. I looked at the calendar and realized it is just over 7 weeks away. Total panic hit me! So much so that my normal low blood pressure went through the roof. Inside my head is a conversation that flips from. "I should be happy that the is wait will soon be over; I have found the tools to do this, step by step. " to "The changes will be totally overwhelming."

You have to understand I am not the kind of person who waivers. Even though I am a very emotional person I am also very logical in my thinking processes. I usually collect as much info as I can find, think it through and once I make a decision then I completely accept it but try to be flexible if adjustments need to be made.

I am not a person to panic but I am an emotional eater. I am determined to not let that mask this issue (after all it got me to this weight in the first place), I even questioned if dietary changes like limiting sugars and carbs might be part of it.

I called my surgeon's office and asked about a local support group and if they accepted pre-op patients. There is no group due to Covid and only post-op. My husband is supportive but from the experience of his care giving after two knee replacements in 3 months a few year back, I realizes he means well but he is clueless. I have been rereading different posts to calm the panic. Any suggestions beyond praying, deep breaths, a distraction or a walk? Caterina
 
Deep breaths and small steps. I’m not sure if you’re a list writer, I am. I love being able to cross things off-helps me feel like I’ve accomplished something. If you like a to do list, start writing little things to start every day that you know will help you be successful after surgery. Make a long term list for things that can wait. Start a packing for the hospital list, and a list of things you’ll need after surgery. Before you know it you’ll have so many things crossed off that you’ll feel a lot better about everything. And anything else we can help you with please ask. That’s what we’re all here for!
 
Deep breaths and small steps. I’m not sure if you’re a list writer, I am. I love being able to cross things off-helps me feel like I’ve accomplished something. If you like a to do list, start writing little things to start every day that you know will help you be successful after surgery. Make a long term list for things that can wait. Start a packing for the hospital list, and a list of things you’ll need after surgery. Before you know it you’ll have so many things crossed off that you’ll feel a lot better about everything. And anything else we can help you with please ask. That’s what we’re all here for!
Thanks. We think alike. As soon as I read the wonderful lists and hints that have been compiled and shared, as you have traveled this journey, I started copying them into a 3 ring binder. When you share references to studies, I make notations in case I want to read more. I am also using it as a journal.
 
Man, that panic can really get to you. It is totally understandable, though not easy to deal with. You are about to undergo a life changing journey and even positive changes is stressful and difficult. It's actually a pretty straightforward process, once the surgery happens and I think that will be your time to shine. There are lists and rules galore! At least during those first few weeks. It really kept me focused. However, that doesn't help the anxiety now. Try to keep doing your research. It's important to know what's coming and can really keep you focused on the positive results you'll be seeing. I personally tried to just skim over the stories about complications. They are few and far between and some peoples complications are actually of their own making.
As for the emotional/stress eating. The best way to avoid bad choices is by having only good choices in your home. If you have cheetos, you will eat them. (I would eat them lol) So stock up on fresh fruits and veggies. If you want to nosh, baby carrots are the best. You'll get tired of chewing well before you've done any damage to your waistline!! A doctor gave me that advice before I was even considering surgery. God, how I hated him lol BUT, it's legit and was a life saver when I was pre-op.
 
That is my go-to as well, baby carrots. There is a brand out there that comes in a 4 pack single serving and looks to be actual baby carrots, not the ones modified to look like a baby carrot and easier to chew for anyone who has sensitive teeth or old teeth like me. ;)
 
Thank you all. Your sage advice has calmed my anxiety as I am in countdown to the 29th of this month. That is unless I hit an unforeseen stumbling block; a bit anxious that I will lose my calm if surgery is delayed.
I see the cardiologist tomorrow for clearance. Still waiting to get one last appointment and then meet with the surgeon two weeks prior to surgery.
Thinking back to a few years ago when I helped a friend with her WLS appointments and those post surgery days, I realize I was very judgmental in how she had handled the situation (making little effort to adjust in her pre-op life, no prep in acquiring items suggested to have at home post-op etc.) We each have to take responsibility for ourselves and no one walks in another persons' shoes.
Funny, but I am surprised at something, it has been easier to make better choices these last weeks. I feared that as I got closer to surgery that I would think that I had better take advantage that some food choices are possible these last days and indulge. I am choosing to hear your advise in my head and not my usual long playing recording that drove me to eat.

Caterina
 
I am only sharing the details of my hurdles to say it is still worth it. Few of you will feel that you are living through a bad version of the movie "Groundhog Day'. How fortunate for me to be retired and not still be working for what was in store. I am sure most people get a list of appointments for tests, go to them and meet their proposed surgery date just as my friend did 5 years ago. But if you get discouraged by mishaps just keep the faith and do not let anyone or anything discourage you.

Months before my surgery there were no doubts, second thoughts, fears or questions because with all of your help, I was prepared. My June 29th date got canceled because the cardiologist still had not cleared me. There was no time to go into a funk because they kept me busy.

My GP said the cardio would take a week from the consultation to run tests and clear me; it took them 7 weeks for them to schedule and preform my regular tests then sending me off to another specialist for additional testing adding 2 more weeks. At the consult he scared me saying I needed the addition test to be sure that I would not have a heart attack on the table and to limit my activity so that I did not have a heart attach while waiting for surgery. My insurance refused to cover the test saying it was unnecessary. I went back to my GP requesting a referral to my husbands' Cardiologist (who accused me of DR shopping) and told me I was lucky to have good insurance).

Three weeks later I was cleared. Then over the next three weeks I was notified that the surgeon did not have any record of my blood work and later no physiologist clearance. Again it was my responsibility to make the calls to have them resent. I did not care whether it was my GP's office or surgeon' s office that dropped the ball, all I cared was that I got my new date. If the surgeon had made all the appointments instead of requiring my GP to do it it might have been less complicated. It reconfirmed what I had read online about the surgeon's office.

Neither the companies I worked for nor the DHS in 3 states would never have allowed me to poorly manage the child care centers offices I directed in any such a manner.

Still it continued. The hospital called to tell me "my procedure", (in all fairness the reception was not clear) was scheduled in two days and that I had to be there the next day to register. Only on arriving at the hospital Thurs morning to register (and asking) was I told that it was not my gastric sleeve but that my surgeon was doing another pre-op test (required only after finally reviewing my previous gastro history).

After registration I was sent directly to a a pre-op ( explaining my surgery)/ pre & post op nutrition class where I was given my surgery date for the following Wed. From Thursday to Wed is not much time for a pre op diet.

At this point I sat down and rechecked all my saved correspondence to confirm that I had understood their correspondence properly and that I was not "off my perch"

After the procedure the, next day, I was given an office appointment on Mon for test results and final clearance. There I learned my surgery was in fact the next day, Tue and not Wed as written.

Still I get to the hospital Tue at 9 AM determined not to let office mishaps get in the way. By 7PM, I was told that there had been an emergency surgery and that my surgery would have to wait until the next day, so "go home". They were all very nice about it and I had had good care all day.

Wed morning, I arrived at 5:30 AM the first on the surgery list. It went well with an additional hernia repair at the same time. I was home in 32 hours.

Surgery was 2 weeks ago Wed. I am doing well so far. Already I am seeing minor positive health changes since the surgery. My weight loss is 23.8 lbs. I feel I am still adjusting to the zero caffeine/sugar consumption and limited calories.

It is balancing act to consume all my water and protein because I always feel full. Any suggestions? Perhaps when I am not napping as much, I will be awake more, giving me more time to sip more. How right you all were about the lack of cravings and cooking for my husband sometimes make me a bit queasy.

As after my previous knee surgeries., with lack of appetite I have had a sensory taste bud cleansing, making me acutely aware of the taste of everything I consume. Artificial sweeteners, colorings and flavorings in prepared protein shakes and water drinks, even Jell-O, are a challenge. I just have to get back to making these things myself instead of relying on premade even though I had shopped carefully pre-surgery.

Thanks for willing to share your journeys, each as unique as each of you and the bodies that God gave us. I would not have made it this far without all of you.
 
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